Individualized surgical treatment of cerebral palsy with hip adduction deformity after selective posterior rhizotomy
WANG Fengxian
CAO Xu
YU Xing
QU Yi
MU Xiaohong
XU Lin
Abstract：Objective To evaluate the surgical options and clinical effects of treatment of spastic cerebral palsy with hip adduction deformity after selective posterior rhizotomy (SPR). Methods From August 2008 to August 2012, 126 patients with hip adduction deformity who had performed SPR for spastic cerebral palsy were treated in Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine. According to the range of muscle contracture and the degree of deformity, different surgical methods were chosen including tenotomy of long adductor muscle, short adductor muscle, gracilis, iliopsoas, as well as transection of anterior branch of obturator nerve etc. Results All cases were followed up with the average time of 22 months (14-38 months). Postoperative hip adduction deformity improved significantly, among them, the angle of hip abduction more than 30° was in 118 cases, while 20° to 30° in 8 cases, with the rate of remission 100% (126/126), and the satisfaction rate 93.6% (118/126). No limb sensory disturbance, hip abduction or external rotation deformity were found after the surgery. Conclusion For cerebral palsy patients with hip adduction deformity after SPR, individualized surgical treatment including muscle tenotomy and transection of anterior branch of obturator nerve could bring into satisfactory clinical efficacy according to different patients' individual situations.
Keywords：Cerebral palsySpasmHipDeformity of adductionObturator nerve transectionAdductor tenotomy
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 218-221 )